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MINNEGASCO SERVICE INSTALLATION <br />_ <br />Map No. Natural Gas U Propane Vapor ' _) Permit No. <br />Municipality _Q r. Qatl Minneapolis I-7 Order No. Z.T. <br />Folio No. Date Ordered TI�wd 1_ E No. -44," <br />- <br />ICustomer's Name Wim, �.V = a Ne c t _ Tel . <br />Installation Address TT:i...r xru�,r..Ra: tip <br />Lot _$__._ Block .�._ Addition <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service <br />Additional Info. <br />Main <br />______Pressure Class <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Location <br />The Minnesota Gas Company hereby reque its permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Of <br />Date By al - <br />(Au t nt Signatures <br />F car en 52 R 5, 78 <br />